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Parenteral Nutrition, 10 to 51 g of Protein, Premix

New York rates for HCPCS B4189

Parenteral nutrition solution: compounded amino acid and carbohydrates with electrolytes, trace elements, and vitamins, including preparation, any strength, 10 to 51 g of protein, premix

Rates data updated July 2026.

How much does Parenteral Nutrition, 10 to 51 g of Protein, Premix cost?

$170

Typical negotiated rate. In New York, July 2026.

Insurers have agreed to pay about $170 for this service. The price depends on where it is billed: about $170 from a physician practice, and about $257 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 9 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$170$93.33 to $245
FacilityA hospital or hospital-owned outpatient department$257$148 to $263

How much rates vary

Facilitymedian $257 · 10th to 90th $95 to $295Professionalmedian $170 · 10th to 90th $79 to $372
$100$200$500$1Kfacility $257professional $170

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$95.50
Median
$169.82
Typical High
$295.12
Aetna
Setting
Professional
Modifier
Global
Typical Low
$117.49
Median
$169.82
Typical High
$208.93
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$257.04
Median
$257.04
Typical High
$512.86
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$72.44
Median
$93.33
Typical High
$371.54
CDPHP
Setting
Facility
Modifier
Global
Typical Low
$151.36
Median
$151.36
Typical High
$213.80
CDPHP
Setting
Professional
Modifier
Global
Typical Low
$151.36
Median
$151.36
Typical High
$151.36
Cigna
Setting
Facility
Modifier
Global
Typical Low
$354.81
Median
$354.81
Typical High
$354.81
Cigna
Setting
Professional
Modifier
Global
Typical Low
$120.23
Median
$120.23
Typical High
$1,258.93
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$263.03
Median
$436.52
Typical High
$1,000.00
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$263.03
Median
$478.63
Typical High
$724.44
Excellus BCBS
Setting
Facility
Modifier
Global
Typical Low
$85.11
Median
$85.11
Typical High
$147.91
Excellus BCBS
Setting
Professional
Modifier
Global
Typical Low
$102.33
Median
$147.91
Typical High
$158.49
MVP Health Care
Setting
Facility
Modifier
Global
Typical Low
$181.97
Median
$50,118.72
Typical High
$75,857.76
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$158.49
Median
$257.04
Typical High
$446.68
United
Setting
Facility
Modifier
Global
Typical Low
$263.03
Median
$263.03
Typical High
$263.03
United
Setting
Professional
Modifier
Global
Typical Low
$89.13
Median
$251.19
Typical High
$436.52
Univera
Setting
Facility
Modifier
Global
Typical Low
$85.11
Median
$147.91
Typical High
$147.91
Univera
Setting
Professional
Modifier
Global
Typical Low
$102.33
Median
$147.91
Typical High
$158.49

Where New York sits

The same service costs 2.6 times more in Montana than in West Virginia. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

New York· 44th of 51

$170

MT $316WV $120

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.